Power of Peer Support to Change Health Behavior to Reduce Risks for Heart Disease and Stroke for African American Men in a Faith-Based Community

J Racial Ethn Health Disparities. 2018 Oct;5(5):1107-1116. doi: 10.1007/s40615-018-0460-7. Epub 2018 Feb 1.

Abstract

Introduction: Peer support has powerful potential to improve outcomes in a program of health behavior change; yet, how peer support is perceived by participants, its role, and how it contributes to intervention efficacy is not known, especially among African Americans. The purpose of this study was to identify the subjectively perceived experience and potential contributions of peer support to the outcomes of a peer group behavioral intervention designed to change health behavior to reduce risks for heart disease and stroke in African American men in a faith-based community.

Methods: A peer support group intervention was implemented to increase health knowledge and to improve health behaviors in line with the American Heart Association's Life Simple 7 domains (get active, control cholesterol, eat better, manage blood pressure, lose weight, reduce blood sugar, and stop smoking). Fourteen peer group sessions and eight follow-up interviews with program participants were recorded, transcribed, and analyzed.

Results: Seven key themes emerged, including (1) enhancing access to health behavior information and resources, (2) practicing and applying problem-solving skills with group feedback and support, (3) discussing health behavior challenges and barriers, (4) sharing health behavior changes, (5) sharing perceived health outcome improvements and benefits, (6) feelings of belonging and being cared for, and (7) addressing health of family and community.

Conclusion: Qualitative findings revealed a positive perception of peer support and greater understanding of potential reasons why it may be an effective strategy for African American men.

Keywords: African American men; Behavior change program; Cardiovascular disease; Peer support; Risk reduction.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Access to Information
  • Adult
  • Aged
  • Aged, 80 and over
  • Black or African American*
  • Health Behavior*
  • Heart Diseases / prevention & control*
  • Humans
  • Male
  • Men
  • Middle Aged
  • Peer Group*
  • Pilot Projects
  • Problem Solving
  • Psychological Distance
  • Qualitative Research
  • Religion*
  • Risk Reduction Behavior*
  • Social Support*
  • Stroke / prevention & control*